Guideline For Lower Back Pain

July 2017

General Practitioners

Country of origin: USA

The American College of Physicians and the American Pain Society have published an updated practice guideline for the management of low back pain in primary care.

The guideline, which appeared in Annals of Internal Medicine, includes recommendations on both evaluation and treatment.

Among the recommendations:

? Imaging should not be part of the routine work-up of patients with non-specific pain.
? Clinicians should provide patients with information on the expected course of their condition.
? When considering medication use, clinicians should usually start with acetaminophen or NSAIDs.
? For patients who do not improve, nondrug therapies such as spinal manipulation, acupuncture, and yoga may be considered.

Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society is available online.

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